Date Filed:

Request for Undertime

Name of Employee: Work Station/Department:

Date of Undertime: _____________________ Time : From __________ to __________ No. of Hours: ________
Reason for Undertime:

Approved
Disapproved

Requested by: Department Head

________________________________ ________________________________
Signature over Printed Name Signature over Printed Name
Date : ________________________

Date Filed:

Request for Undertime

Name of Employee: Work Station/Department:

Date of Undertime: _____________________ Time : From __________ to __________ No. of Hours: ________
Reason for Undertime:

Approved
Disapproved

Requested by: Department Head

________________________________ ________________________________
Signature over Printed Name Signature over Printed Name
Date : ________________________